Ethan Bliss, PHD
NPI 1851428460ActiveIndividual· Psychologist, Clinical· Frederick, MD
Psychologist, Clinical (PHD) with The Center for Integrative Healthcare, LLC, practicing in Frederick, Maryland. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1851428460 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Nov 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 04888 | MD |
| Psychologist | 103T00000X | 20042437A | IN |
| Counselor, Mental Health | 101YM0800X | 39001937A | IN |
| Counselor, Mental Health | 101YM0800X | MH 7447 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MD) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- The Center for Integrative Healthcare, LLCFrederick, MD · 2 clinicians
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All 49 clinical psychologists in Frederick · All clinical psychologists in Maryland